Exam 45: Mobility and Immobility

Which one of the following actions should the nurse take in order to promote respiratory function in the immobilized patient?

The nurse has attempted to administer a tap water enema for a patient with fecal impaction with no success.What is the next priority nursing action?

Which nursing intervention is most effective in promoting normal defecation for a patient who has muscle weakness in the legs that prevents ambulation?

A nurse is performing an assessment on a patient who has not had a bowel movement in 3 days.The nurse would expect which other assessment finding?

The nurse assesses that the patient has torticollis and that this may adversely influence the patient's mobility.Which of the following signs does this individual exhibit?

Antiembolism stockings,also known as thromboembolic device (TED)hose,are ordered for the patient on bed rest after surgery.Which of the following does the nurse explain to the patient is the primary purpose for these stockings?

A 61-year-old patient recently had left-sided paralysis from a cerebrovascular accident (CVA,stroke).In planning care for this patient,the nurse implements which one of the following as an appropriate intervention?

Fecal impactions occur in which portion of the colon?

A nurse is preparing a patient for a magnetic resonance imaging scan.Which nursing action is most important?

The nurse is caring for a patient who had a colostomy placed yesterday.The nurse should report which assessment finding immediately?

Two nurses are standing on opposite sides of the bed to move the patient up in bed with a drawsheet.Which of the following describes the correct position for the nurses to take to safely position the patient?

The patient is getting up for the first time after a period of bed rest.Which of the following actions should the nurse take first?

Which of the following is not a function of the large intestine?

Which physiological change can cause a paralytic ileus?

Which nursing action best reduces risk of excoriation to the mucosal lining of the nose from a nasogastric tube?

It has been determined that each one of the following patients is at risk for falling.Which one requires the nurse's priority for ambulation?

A nurse is providing discharge teaching for a patient who is going home with a guaiac test.Which statement by the patient indicates the need for further education?

The nurse is caring for a patient who is confined to the bed.The nurse asks the patient if he needs to have a bowel movement 30 minutes after eating a meal because

A patient had an ileostomy surgically placed 2 days ago.Which diet would the nurse recommend to the patient to ease the transition of the new ostomy?

Which of the following would the nurse expect to use to maintain the patient's legs in abduction after total hip replacement surgery?